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JAMA. 1896;XXVI(25):1199-1201. doi:10.1001/jama.1896.02430770001001.
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My paper, of which I beg to present a partial summary, is based upon a study of some forty cases of gallstone disease and a review of the chief literature of the subject. The personal observations concern eleven cases upon which I operated, comprising: One cholecystectomy; one choledochotomy; two cholecystenterostomies; six cholecystotomies with temporary fistulæ; one cholecystotomy by long drainage button; four autopsies in deaths from cholelithiasis without surgical interference; eight cases which for various reasons were not subjected to operation, in which the diagnosis was confirmed by passage of gallstones, and sixteen cases in which a diagnosis of gallstone was more or less positively made, but not confirmed by recovery of the calculi either by operation or in the stools.

In the course of this brief experience I have been strikingly impressed by several facts, among which may be noted: The highly overdrawn notion of biliary colic and a


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